UNKNOWN IMPLANTABLE NEUROSTIMULATOR 37601

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,l report with the FDA on 2017-07-10 for UNKNOWN IMPLANTABLE NEUROSTIMULATOR 37601 manufactured by Medtronic Neuromodulation.

Event Text Entries

[79507543] Please note that this date is based off of the date that the article was accepted for publication as the event dates were not provided in the published literature. Information references the main component of the system involved in the reported event; other applicable components are: product id 3389 lot# unknown serial# implanted: explanted: product type lead. A good faith effort will be made to obtain the applicable information relevant to the report. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[79507544] Richieri, r. , borius, py. , cermolacce, m. , millet, b. , lancon, c. , regis, j. A case of recovery after delayed intracranial hemorrhage after deep brain stimulation for treatment-resistant depression. Biol psychiatry. 2017. Doi: 10. 1016/j. Biopsych. 2017. 04. 009 summary/reported event: a (b)(6) male patient who had received bilateral nucleus accumbens (na) deep brain stimulation (dbs) for treatment resistant depression presented 8 days post-implant with an acute confusional syndrome with aphasia, psychomotor retardation, slurred speech, and a frontal syndrome with predominant apathy. A ct scan showed a voluminous left frontal hematoma along the electrode (diameter 55 mm) with perihematomal edema, a deletion of cortical sulci, and a mild deflection of the midline. His intracranial hemorrhage (ich) was managed conservatively, without surgical evacuation, and it resolved spontaneously. After 1 month, computed tomography showed a resorption of the hematoma with the presence of a sequellar hypodense range. No mass effect remained, and the dbs leads did not shift away from the original target. It was noted that the symptoms entirely recovered after a 3-month rehabilitation course. It was not possible to ascertain specific device information (i. E. Serial numbers) from the article or to match the reported event with any previously reported event.
Patient Sequence No: 1, Text Type: D, B5


[98561006] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[98561007] Additional information received from the corresponding author reported that the patient? S bmi was (b)(6).
Patient Sequence No: 1, Text Type: D, B5


[99260216] Supplemental being sent to note additional follow-up providing the date of the event. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007566237-2017-02734
MDR Report Key6697536
Report SourceFOREIGN,HEALTH PROFESSIONAL,L
Date Received2017-07-10
Date of Report2017-08-29
Date of Event2014-09-09
Date Mfgr Received2017-07-31
Date Added to Maude2017-07-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLISA WOODWARD CLARK
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635263920
Manufacturer G1MEDTRONIC NEUROMODULATION
Manufacturer Street800 53RD AVE NE
Manufacturer CityMINNEAPOLIS MN 554211200
Manufacturer CountryUS
Manufacturer Postal Code554211200
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN IMPLANTABLE NEUROSTIMULATOR
Generic NameSTIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR
Product CodeMFR
Date Received2017-07-10
Model Number37601
Catalog Number37601
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NEUROMODULATION
Manufacturer Address800 53RD AVE NE MINNEAPOLIS MN 554211200 US 554211200


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-07-10

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